| NPI | 1265676258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5039) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN LPC00532) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2021-09-13 |